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Research ArticleInvited Perspective

Toward a Better Understanding of Immune Checkpoint Inhibitor Radiolabeled PET Imaging Studies

Harm Westdorp, Sarah R. Verhoeff, Martin Gotthardt, Carla M.L. van Herpen, Michel M. van, den Heuvel, Sandra Heskamp and Erik H.J.G. Aarntzen
Journal of Nuclear Medicine March 2022, 63 (3) 359-361; DOI: https://doi.org/10.2967/jnumed.121.262622
Harm Westdorp
1Department of Medical Imaging, Radboudumc, Nijmegen, The Netherlands;
2Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboudumc, Nijmegen, The Netherlands;
3Department of Medical Oncology, Radboudumc, Nijmegen, The Netherlands; and
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Sarah R. Verhoeff
1Department of Medical Imaging, Radboudumc, Nijmegen, The Netherlands;
3Department of Medical Oncology, Radboudumc, Nijmegen, The Netherlands; and
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Martin Gotthardt
1Department of Medical Imaging, Radboudumc, Nijmegen, The Netherlands;
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Carla M.L. van Herpen
3Department of Medical Oncology, Radboudumc, Nijmegen, The Netherlands; and
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Michel M. van
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den Heuvel
4Department of Pulmonary Diseases, Radboudumc, Nijmegen, The Netherlands
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Sandra Heskamp
1Department of Medical Imaging, Radboudumc, Nijmegen, The Netherlands;
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Erik H.J.G. Aarntzen
1Department of Medical Imaging, Radboudumc, Nijmegen, The Netherlands;
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    TABLE 1.

    Main Results of Published ICI Radiolabeled PET Imaging Studies

    Clinical trialImaging techniqueTumor typePatients (n)Results
    Niemeijer et al. (9) (NCT03065764)89Zr-pembrolizumab PETNon–small cell lung cancer1289Zr-pembrolizumab PET is feasible and safe; 89Zr-pembrolizumab uptake is higher in patients with treatment response; 89Zr-pembrolizumab uptake did not correlate with PD-1/PD-L1 expression
    Bensch et al. (10) (NCT02453984)89Zr-atezolizumab PETLocally advanced or metastatic solid tumors2289Zr-atezolizumab PET is feasible and safe; 89Zr-atezolizumab uptake correlates with PD-L1 expression; 89Zr-atezolizumab SUVmax predicts response to atezolizumab, including overall and progression-free survival, better than PD-L1 expression assessed by immunohistochemistry
    Niemeijer et al. (11) (2015-004760-11)18F-PD-L1 PET; 89Zr-nivolumab PETNon–small cell lung cancer1318F-PD-L1 and 89Zr-nivolumab PET is feasible and safe; 18F-PD-L1 uptake correlates with tumor PD-L1 expression; 89Zr-nivolumab uptake correlates to PD-1 expression on lymphocytic aggregates; 89Zr-atezolizumab SUVpeak correlates with treatment response (responders vs. nonresponders based on RECIST, version 1.1)
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Journal of Nuclear Medicine: 63 (3)
Journal of Nuclear Medicine
Vol. 63, Issue 3
March 1, 2022
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Toward a Better Understanding of Immune Checkpoint Inhibitor Radiolabeled PET Imaging Studies
Harm Westdorp, Sarah R. Verhoeff, Martin Gotthardt, Carla M.L. van Herpen, Michel M. van, den Heuvel, Sandra Heskamp, Erik H.J.G. Aarntzen
Journal of Nuclear Medicine Mar 2022, 63 (3) 359-361; DOI: 10.2967/jnumed.121.262622

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Toward a Better Understanding of Immune Checkpoint Inhibitor Radiolabeled PET Imaging Studies
Harm Westdorp, Sarah R. Verhoeff, Martin Gotthardt, Carla M.L. van Herpen, Michel M. van, den Heuvel, Sandra Heskamp, Erik H.J.G. Aarntzen
Journal of Nuclear Medicine Mar 2022, 63 (3) 359-361; DOI: 10.2967/jnumed.121.262622
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